<link rel="stylesheet" href="assets/css/apply.css">

<div id="apply">
    <h1><span>申请试用帐号</span></h1>
    <form ng-submit="processSubmit()">
        <div class="form-group">
            <input type="text" ng-model="name" placeholder="请输入您的姓名" autofocus />
        </div>
        <div class="form-group">
            <input type="text" ng-model="mobile" placeholder="请输入您的手机号" />
        </div>
        <div class="form-group">
            <location-picker ng-model="location" placeholder="请选择所在地区" />
        </div>
        <div class="form-group">
            <button type="submit" class="btn-primary">确认</button>
            <div class="form-tips" ng-show="errorMessage">
                <i class="iconfont icon-warning"></i>
                {{errorMessage}}
            </div>
        </div>
    </form>
</div>
